Background: In Benin, adherence to intermittent preventive treatment against malaria in pregnant women is below national indicators. This study aimed to determine the rate of IPT1, IPT2, and IPT3 and to investigate the sociodemographic and gyneco-obstetrical factors associated with IPTp’s intake. Methods: During a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Sociodemographic, gynecological and obstetric factors were collected. Logistic regression model was fitted to search for factors associated with IPT’s use. Results: The rates of IPT1, IPT2 and IPT3 were 36.49%, 26.78% and 11.14% respectively. Primiparous mothers (OR=1.31 [1.11-1.92]), women who had attended at least 4 antenatal care visits (ACV) (OR=12.93 [6.27-26.64]) and those who received IPT counseling during their ACV (OR=5.27 [3.02-9.17]) were more likely to take IPT. Conversely, the increase in women’s age was associated with a lower probability of taking IPT (OR=0.56 [0.51-0.92]). No significant association was found with marital status (p=0.37) and schooling level (p=0.38). Conclusion: This study confirmed the low use of IPTp for all doses. Our findings suggest strengthening public health interventions to increase women's participation in prenatal consultations by targeting older and multiparous women. Intervention such as organizing intra-community prenatal consultations in addition to those organized at the health center would be useful to improve the national coverage of the IPTp.
Published in | Central African Journal of Public Health (Volume 6, Issue 6) |
DOI | 10.11648/j.cajph.20200606.16 |
Page(s) | 351-357 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
IPT, Parity, Antenatal Care Visit, Woman’s Age
[1] | WHO, World Malaria Report 2017. |
[2] | WHO, World Malaria Report 2013. |
[3] | Bouyou-Akotet, M. K., et al., Anaemia and severe malarial anaemia burden in febrile Gabonese children: a nine-year health facility based survey. J Infect Dev Ctries, 2013. 7 (12): p. 983-9. |
[4] | De Beaudrap, P., et al., Impact of malaria during pregnancy on pregnancy outcomes in a Ugandan prospective cohort with intensive malaria screening and prompt treatment. Malar J, 2013. 12: p. 139. |
[5] | Desai, M., et al., Epidemiology and burden of malaria in pregnancy. Lancet Infect Dis, 2007. 7 (2): p. 93-104. |
[6] | Eisele, T. P., et al., Malaria prevention in pregnancy, birthweight, and neonatal mortality: a meta-analysis of 32 national cross-sectional datasets in Africa. Lancet Infect Dis, 2012. 12 (12): p. 942-9. |
[7] | Hill, J., et al., Factors affecting the delivery, access, and use of interventions to prevent malaria in pregnancy in sub-Saharan Africa: a systematic review and meta-analysis. PLoS Med, 2013. 10 (7): p. e1001488. |
[8] | Kendjo, E., et al., Mortality patterns and site heterogeneity of severe malaria in African children. PLoS One, 2013. 8 (3): p. e58686. |
[9] | Sohail, M., et al., Prevalence of Malaria Infection and Risk Factors Associated with Anaemia among Pregnant Women in Semiurban Community of Hazaribag, Jharkhand, India. Biomed Res Int, 2015. 2015: p. 740512. |
[10] | Takem, E. N. and U. D'Alessandro, Malaria in pregnancy. Mediterr J Hematol Infect Dis, 2013. 5 (1): p. e2013010. |
[11] | WHO, World Malaria Report. 2011. |
[12] | WHO, Updated WHO Policy Recommendation. 2012. Oct, Intermittent Preventive Treatment of malaria in pregnancy using Sulfadoxine Pyrimethamine (IPTp SP). 2012. |
[13] | WHO, Policy brief for the implementation of intermittent preventive treatment of malaria in pregnancy. World Health Organization. 2014 (1: 12). |
[14] | Corbel, V., et al., Multiple insecticide resistance mechanisms in Anopheles gambiae and Culex quinquefasciatus from Benin, West Africa. Acta Trop, 2007. 101 (3): p. 207-16. |
[15] | Mbengue, M. A. S., et al., Factors influencing the use of malaria prevention strategies by women in Senegal: a cross-sectional study. Malar J, 2017. 16 (1): p. 470. |
[16] | Ibrahim, H., et al., Factors influencing uptake of intermittent preventive treatment of malaria in pregnancy using sulphadoxine pyrimethamine in Sunyani Municipality, Ghana. Pan Afr Med J, 2017. 28: p. 122. |
[17] | Ayubu, M. B. and W. B. Kidima, Monitoring Compliance and Acceptability of Intermittent Preventive Treatment of Malaria Using Sulfadoxine Pyrimethamine after Ten Years of Implementation in Tanzania. Malar Res Treat, 2017. 2017: p. 9761289. |
[18] | Amoran, O. E., A. A. Ariba, and C. A. Iyaniwura, Determinants of intermittent preventive treatment of malaria during pregnancy (IPTp) utilization in a rural town in Western Nigeria. Reprod Health, 2012. 9: p. 12. |
[19] | Exavery, A., et al., Factors affecting uptake of optimal doses of sulphadoxine-pyrimethamine for intermittent preventive treatment of malaria in pregnancy in six districts of Tanzania. Malar J, 2014. 13: p. 22. |
[20] | Kibusi, S. M., E. Kimunai, and C. S. Hines, Predictors for uptake of intermittent preventive treatment of malaria in pregnancy (IPTp) in Tanzania. BMC Public Health, 2015. 15: p. 540. |
[21] | Nwaefuna, E. K., et al., Effectiveness of Intermittent Preventive Treatment in Pregnancy with Sulphadoxine-Pyrimethamine against Submicroscopic falciparum Malaria in Central Region, Ghana. J Parasitol Res, 2015. 2015: p. 959427. |
[22] | Orish, V. N., et al., Prevalence of intermittent preventive treatment with sulphadoxine-pyrimethamine (IPTp-SP) use during pregnancy and other associated factors in Sekondi-Takoradi, Ghana. Afr Health Sci, 2015. 15 (4): p. 1087-96. |
[23] | Sahle, G., Ethiopic maternal care data mining: discovering the factors that affect postnatal care visit in Ethiopia. Health Inf Sci Syst, 2016. 4: p. 4. |
[24] | Tarekegn, S., L. S. Lieberman, and V. Giedraitis, Determinants of maternal health service utilization in Ethiopia: analysis of the 2011 Ethiopian Demographic and Health Survey. BMC Pregnancy Childbirth, 2014. 14: p. 161. |
[25] | Akinyemi, J. O., R. F. Afolabi, and O. A. Awolude, Patterns and determinants of dropout from maternity care continuum in Nigeria. BMC Pregnancy Childbirth, 2016. 16 (1): p. 282. |
[26] | Azizi, S. C., et al., Uptake of intermittent preventive treatment for malaria during pregnancy with Sulphadoxine-Pyrimethamine (IPTp-SP) among postpartum women in Zomba District, Malawi: a cross-sectional study. BMC Pregnancy Childbirth, 2018. 18 (1): p. 108. |
[27] | Bouyou-Akotet, M. K., D. P. Mawili-Mboumba, and M. Kombila, Antenatal care visit attendance, intermittent preventive treatment and bed net use during pregnancy in Gabon. BMC Pregnancy Childbirth, 2013. 13: p. 52. |
[28] | UNICEF, The State of the World’s Children 2016. UNICEF Global Databases. NEW YORK. 2016. |
[29] | Menaca, A., et al., Local illness concepts and their relevance for the prevention and control of malaria during pregnancy in Ghana, Kenya and Malawi: findings from a comparative qualitative study. Malar J, 2013. 12: p. 257. |
[30] | Pell, C., et al., Prevention and management of malaria during pregnancy: findings from a comparative qualitative study in Ghana, Kenya and Malawi. Malar J, 2013. 12: p. 427. |
[31] | Pell, C., et al., Factors affecting antenatal care attendance: results from qualitative studies in Ghana, Kenya and Malawi. PLoS One, 2013. 8 (1): p. e53747. |
[32] | Namazzi, G., et al., Working with community health workers to improve maternal and newborn health outcomes: implementation and scale-up lessons from eastern Uganda. Glob Health Action, 2017. 10 (sup4): p. 1345495. |
APA Style
Padonou Sètondji Géraud Roméo, Aguemon Badirou, Damien Georgia, Tognifode Mèdessè Véronique, Djossou Elisette, et al. (2020). Womens Sociodemographic and Gyneco-Obstetrical Factors Related to IPTp Observance in Ouidah-Kpomasse-Tori Bossito, Benin. Central African Journal of Public Health, 6(6), 351-357. https://doi.org/10.11648/j.cajph.20200606.16
ACS Style
Padonou Sètondji Géraud Roméo; Aguemon Badirou; Damien Georgia; Tognifode Mèdessè Véronique; Djossou Elisette, et al. Womens Sociodemographic and Gyneco-Obstetrical Factors Related to IPTp Observance in Ouidah-Kpomasse-Tori Bossito, Benin. Cent. Afr. J. Public Health 2020, 6(6), 351-357. doi: 10.11648/j.cajph.20200606.16
AMA Style
Padonou Sètondji Géraud Roméo, Aguemon Badirou, Damien Georgia, Tognifode Mèdessè Véronique, Djossou Elisette, et al. Womens Sociodemographic and Gyneco-Obstetrical Factors Related to IPTp Observance in Ouidah-Kpomasse-Tori Bossito, Benin. Cent Afr J Public Health. 2020;6(6):351-357. doi: 10.11648/j.cajph.20200606.16
@article{10.11648/j.cajph.20200606.16, author = {Padonou Sètondji Géraud Roméo and Aguemon Badirou and Damien Georgia and Tognifode Mèdessè Véronique and Djossou Elisette and Codjia Estelle and Hinson Antoine Vickey and Ayelo Paul}, title = {Womens Sociodemographic and Gyneco-Obstetrical Factors Related to IPTp Observance in Ouidah-Kpomasse-Tori Bossito, Benin}, journal = {Central African Journal of Public Health}, volume = {6}, number = {6}, pages = {351-357}, doi = {10.11648/j.cajph.20200606.16}, url = {https://doi.org/10.11648/j.cajph.20200606.16}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20200606.16}, abstract = {Background: In Benin, adherence to intermittent preventive treatment against malaria in pregnant women is below national indicators. This study aimed to determine the rate of IPT1, IPT2, and IPT3 and to investigate the sociodemographic and gyneco-obstetrical factors associated with IPTp’s intake. Methods: During a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Sociodemographic, gynecological and obstetric factors were collected. Logistic regression model was fitted to search for factors associated with IPT’s use. Results: The rates of IPT1, IPT2 and IPT3 were 36.49%, 26.78% and 11.14% respectively. Primiparous mothers (OR=1.31 [1.11-1.92]), women who had attended at least 4 antenatal care visits (ACV) (OR=12.93 [6.27-26.64]) and those who received IPT counseling during their ACV (OR=5.27 [3.02-9.17]) were more likely to take IPT. Conversely, the increase in women’s age was associated with a lower probability of taking IPT (OR=0.56 [0.51-0.92]). No significant association was found with marital status (p=0.37) and schooling level (p=0.38). Conclusion: This study confirmed the low use of IPTp for all doses. Our findings suggest strengthening public health interventions to increase women's participation in prenatal consultations by targeting older and multiparous women. Intervention such as organizing intra-community prenatal consultations in addition to those organized at the health center would be useful to improve the national coverage of the IPTp.}, year = {2020} }
TY - JOUR T1 - Womens Sociodemographic and Gyneco-Obstetrical Factors Related to IPTp Observance in Ouidah-Kpomasse-Tori Bossito, Benin AU - Padonou Sètondji Géraud Roméo AU - Aguemon Badirou AU - Damien Georgia AU - Tognifode Mèdessè Véronique AU - Djossou Elisette AU - Codjia Estelle AU - Hinson Antoine Vickey AU - Ayelo Paul Y1 - 2020/12/25 PY - 2020 N1 - https://doi.org/10.11648/j.cajph.20200606.16 DO - 10.11648/j.cajph.20200606.16 T2 - Central African Journal of Public Health JF - Central African Journal of Public Health JO - Central African Journal of Public Health SP - 351 EP - 357 PB - Science Publishing Group SN - 2575-5781 UR - https://doi.org/10.11648/j.cajph.20200606.16 AB - Background: In Benin, adherence to intermittent preventive treatment against malaria in pregnant women is below national indicators. This study aimed to determine the rate of IPT1, IPT2, and IPT3 and to investigate the sociodemographic and gyneco-obstetrical factors associated with IPTp’s intake. Methods: During a cross-sectional study conducted from October 2017 to February 2018 in southern Benin, 422 women, pregnant in the last trimester or who gave birth less than a month ago were included. Sociodemographic, gynecological and obstetric factors were collected. Logistic regression model was fitted to search for factors associated with IPT’s use. Results: The rates of IPT1, IPT2 and IPT3 were 36.49%, 26.78% and 11.14% respectively. Primiparous mothers (OR=1.31 [1.11-1.92]), women who had attended at least 4 antenatal care visits (ACV) (OR=12.93 [6.27-26.64]) and those who received IPT counseling during their ACV (OR=5.27 [3.02-9.17]) were more likely to take IPT. Conversely, the increase in women’s age was associated with a lower probability of taking IPT (OR=0.56 [0.51-0.92]). No significant association was found with marital status (p=0.37) and schooling level (p=0.38). Conclusion: This study confirmed the low use of IPTp for all doses. Our findings suggest strengthening public health interventions to increase women's participation in prenatal consultations by targeting older and multiparous women. Intervention such as organizing intra-community prenatal consultations in addition to those organized at the health center would be useful to improve the national coverage of the IPTp. VL - 6 IS - 6 ER -